Remote Complaint & Appeals Supervisor - $25+/hr
$25 per hourMaziCTools
- Remote job
Aetna is seeking a Supervisor, Complaint & Appeals to manage daily administration and guide teams in handling complaint and appeals processes. You will ensure timely, client-centered responses and adherence to policies. The role requires strong communication, coaching skills, and the ability to drive process improvements while coordinating with cross-functional units. Travel up to 10% may be required. #J-18808-Ljbffr MaziCTools
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote workComplaints
$25 - $36 per hour
Spvr, Complaint & Appeals Job Details Hiring Organization:- Aetna Post Name:- Spvr, Complaint & Appeals Qualifications:- Bachelor Degree Industry... ...Employment Type:- Full time Work Hours:- 8 Hours Salary:- $25-$36/Hour Locations:- Arkansas, USA Position Synopsis Liable for...Remote jobComplaintsHourly payFull timeWork at office- ...activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized... ...Duties • Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,...Remote workComplaintsFull timeContract workWork at office
$174.07k - $374.92k
...of health care resources. **This is a remote based (work at home) based anywhere in the... ...Director role are related to Medicare Appeals: * Direct daily work on part C appeals... ...Qualifications * Medical Management - Medicare Complaints, Grievance & Appeals experience. *...Remote workComplaintsHourly payFull timeTemporary workLocal areaWork from homeWeekend work- ...Working remotely in a full-time capacity, the Appeals Coordinator will manage the tracking and trending of grievances, appeals, and complaints within the Member Services Department, acting as the primary investigator and contact for member and provider issues. Key responsibilities...Remote workComplaintsFull timeWork at office
$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote workComplaintsHourly payFull time- ...Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider... ...adverse decisions are appropriate. Interacts and responds to complaints from Regulatory Agencies and CMS. Maintains a ready command...Remote workComplaintsWork at office
- Horizon Blue Cross Blue Shield of New Jersey is seeking an Appeals Analyst to manage end-to-end complaint and appeal cases, conduct investigations, and ensure regulatory and policy compliance. You will prepare comprehensive case files, coordinate with internal teams and...Remote jobComplaints
$80k - $95k
...Build valuable expertise in property tax appeals within an established boutique legal... ...hands-on involvement in client matters. Remote work is not available. Note: Candidates... ...persuasive briefs, supporting evidence, complaints, and other materials for property tax...Remote workComplaintsFull timeShift work- Oscar Health is hiring a CGA Team Lead to oversee the Complaint, Grievances and Appeals team. The role focuses on supervising daily CGA operations,... ...will report to the Associate Manager, CGA & MPCT, with a remote work setup available for Texas residents. The position offers...Remote jobComplaints
- ...partner is looking for a Lead Specialist, Appeals & Grievances based in the United States.... ...claims appeals, grievances, and complaints, ensuring that members and providers receive... ...coverage, retirement plans, paid time off, and remote or flexible work arrangements are not...Remote workComplaintsFull timeContract workWork at officeFlexible hours
$48.32k - $82.39k
...investigating and tracking member grievances and appeals, and provider claims disputes.... ...folders and records for member grievances and complaints ~ Screen all incoming grievances,... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workComplaintsHourly payFull timePart timeWork at officeFlexible hours- ...is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with... ...of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator... ...for processing appeals, grievances, complaints, and inquiries received from members, authorized...Remote workComplaintsContract work
$15 - $25 per hour
About the job Data Entry Clerk - $15-25/hr Our client, a leader in their industry is looking... ...date Assisting/directing all customer complaints QUALIFICATIONS FOR THE DATA ENTRY CLERK... ...BENEFITS Atrium Care package available, upon eligibility #J-18808-Ljbffr Remote CareerRemote workComplaintsHourly pay- ...headquarters in Houston, Texas. The HR Manager will serve as a... ..., including corporate, field, remote, and client-based employees.... ...investigations involving employee complaints, allegations of discrimination... ...Ability to travel up to 25% of the time throughout the United...Remote workComplaintsFor contractorsLocal areaNight shift
$83.1k - $120.36k
Position Summary:The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining... ...non-participating providers. This is either a remote or on-site position located at either the 100...Remote workComplaintsFull timeContract workTemporary workWork experience placementLocal area$18 - $20 per hour
A-Line Remote Appeals Coordinator {177541} Location: Remote Pay: $18.00- $20.00 per hour (Scheduled Pay: BiWeekly) Hours: M-F 8am-5pm Benefits... ...and grievances. This role screens and triages incoming complaints for urgency, benefit coverage, and medical necessity concerns...Remote jobComplaintsHourly payFull timeTemporary work- ...Regular Full-Time Remote Eligible: No Req ID... ...business partner, the HR Manager is responsible... ...Coach managers and supervisors on skills, including communication... ...lift up to 25 lbs. Requires walking... ...in response to a formal complaint or charge, (b) in furtherance...Remote workComplaintsFull timeFor contractorsWork at officeLocal areaFlexible hours
- ...investigations, grievances, employee discipline, complaints and employee conduct concerns. When... ...and grasping - Some lifting, up to 25 pounds - Manual dexterity and repetitive... ...school grounds - Community locations - Remote work options or flexible work hours may...Remote workComplaintsFull timeContract workFor contractorsWork experience placementWork at officeLocal areaFlexible hours
$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service... ...resolve member and provider complaints and appeals exercising strong... ...works with Quality Control Supervisor to resolve all database... ...weekends, holidays, a hybrid remote schedule, occasional flexibility...Remote workComplaintsFull timeLocal areaShift workWeekend work$174.07k - $374.92k
...we are seeking a Medical Director - Medicare Appeals to join the team of a leader in the Healthcare space. This remote leadership role will oversee Medicare appeals... ...Experience in medical management related to Medicare complaints, grievance, and appeals preferred Health plan...Remote workComplaintsVisa sponsorshipWeekend work$7.5k
...nonprofit public charter school networks in the nation, operating 25 high-performing, middle and high schools that educate nearly 13... ...such as performance management, management consultation, complaint resolution, and compliance. Audit existing processes and workflows...Remote workComplaintsWork experience placementWork at officeWork from homeRelocationHome officeRelocation package$21.16 - $38.37 per hour
Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly... ...appeals, disputes, grievances, and/or complaints from Molina members, providers, and related...Remote workComplaintsHourly payFull timeContract workWork experience placementWork at office$48.37k - $72.56k
...lives but saving them. Together.This position is a remote position. Candidates must be willing to work weekends... ...portal daily for new cases.Acknowledges receipt of all Complaint Tracking Module (CTM) grievances and appeals cases.Gathers pertinent information from members,...Remote jobComplaints$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist... ...& Grievances (A&G) unit manages member complaints, grievances, and appeals related to...Remote jobComplaintsFull timeMonday to FridayShift work- ...prospect, agency, and producer; represents the agency in handling complaints, arbitrating disputes, or resolving grievances Handles or... ...) is acceptable Physical Requirements: Ability to lift 25 pounds Repeated use of sight to read documents and computer...Remote workComplaints
$155k - $185k
...People Operations leads day-to-day HR delivery across OneTogether... ...coordination, recruiting); multi‑site/remote/field workforce support... ...discretion standards Readiness for 25%–40% travel (including... ...) Maintain retention‑compliant complaint/case tracking; ensure multi‑jurisdictional...Remote workComplaintsWork at officeNight shift$167.3k
...Title: Human Resources Manager - Appeals CourtPay Plan: Senior... ...a hybrid schedule of two days remote per week (subject to change).Position... ...administering the day-to-day HR functions for the Appeals Court... ...This position may serve as a supervisor to others.Primary Responsibilities...Remote workFull timeWork at officeLocal area2 days per week- ...! Your tasks as Inside Sales Manager - B2B Akquise, 20 - 25 Stunden (100% Remote) (m/w/d) In this position you are responsible for supporting... ...activities in our CRM/ERP system You also manage our complaints management and offer customer‑oriented solutions This is...Remote jobComplaintsFull time
$193.71k - $213.61k
...Category: Administration Supervisor: President & CEO... ...operations Location: Remote, various locations... ...effective delivery of HR services. Leads the... ...over time. Oversees complaints, grievance resolution,... ...lift and/or move up to 25 pounds. Work is performed...Remote workComplaintsFull timeContract workWork at officeLocal areaFlexible hours
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